1
2025/2026 PEDIATRIC COMAT EXAM
NEWEST WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS |ALREADY
GRADED A+
First number in APGAR - (ANSWER)Info on how newborn tolerated labor (after 1
min)
Second number in APGAR - (ANSWER)Info on infant's response to resuscitation
(after 5min)
Grading for APGAR - (ANSWER)2pts - pulse
1pt - color
1pt - irritability
2pts - tone
2pts - respiration
Erb-Duchenne - (ANSWER)Injury to C5-C6
--arm remains extended and medially rotated
Klumpke - (ANSWER)C7-C8 + T1 injury
, 2
Management for Erb Duchenne or Klumpke - (ANSWER)Refer if doesn't get better
by 3-6 months for neuroplasty
Edema that crosses suture lines - (ANSWER)Caput succedaneum
Edema that doesn't cross suture line - (ANSWER)Cephalohematoma
Area of alopecia with orange colored nodular skin - (ANSWER)Nexus sebaceous
Management of Nevis sebaceous - (ANSWER)Remove from scalp before
adolescence b/c could undergo malignant degeneration
Thick yellow/white oily scale on inflammatory base of scalp -
(ANSWER)Seborrheic dermatitis
Treatment for seborrheic dermatitis - (ANSWER)Gently clean with mild shampoo
(selenium)
Which two disorders do every state screen for? - (ANSWER)PKU and galactosemia
Deficiency in PKU - (ANSWER)Phenylalanine hydroxylase
, 3
Symptoms of PKU - (ANSWER)Mental retardation, vomiting, athetosis, seizures,
developmental delay
Signs of newborn with PKU - (ANSWER)Fair hair, eyes, skin and musty smell
Treatment for PKU - (ANSWER)Low phenylalanine diet
Deficiency of galactosemia - (ANSWER)G1p-uridyl-transferase
--so G1p accumulates and damage to kidney, liver and brain
Symptoms of galactosemia - (ANSWER)Mental retardation, direct hyperbili,
jaundice, decreased glucose, cataracts, seizure
Treatment for galactosemia - (ANSWER)No lactose
3 days old, bili at 10, direct 0.5, eating and pooping well - (ANSWER)Physiologic
jaundice
When does physiologic jaundice resolve? - (ANSWER)By 5th day
--due to liver conjugation not yet mature
7 day old, bili 12, direct 0.5, dry mucous membranes and not gaining weight -
(ANSWER)Breast feeding jaundice
, 4
--from low feeding = dehydration = retain mechanism and absorb deconjugated
bili
14 day old, bili 12, direct 0.5, baby regained birth weight and otherwise healthy -
(ANSWER)Breast milk jaundice
--breast milk has glucuronidase and deconjugates bili
1 day old, bili 14, direct 0.5 worried? - (ANSWER)Yes -- pathologically jaundice if
have high at first day of life bili >12 or rate of rise >5/day
Test for pathological jaundice - (ANSWER)Get Coombs test
+ = Rh or ABO incompatibility
- = twin/twin or mom/fetus transfusion, IDM, spherocytosis, or G6pDH deficiency
7 days old, dark urine, pale stool, bili 12, dbili at 8, LFTS elevated -
(ANSWER)Biliary atresia
--bile ducts can't drain bile causing liver failure! Need surgery!
Inherited causes of indirect hyperbilirubinemia? - (ANSWER)Gilbert - decreased
glucoronyl transferase level
Critter-Najjar - total deficiency
Inherited causes of direct hyperbili - (ANSWER)Dublin Johnson - black liver
2025/2026 PEDIATRIC COMAT EXAM
NEWEST WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS |ALREADY
GRADED A+
First number in APGAR - (ANSWER)Info on how newborn tolerated labor (after 1
min)
Second number in APGAR - (ANSWER)Info on infant's response to resuscitation
(after 5min)
Grading for APGAR - (ANSWER)2pts - pulse
1pt - color
1pt - irritability
2pts - tone
2pts - respiration
Erb-Duchenne - (ANSWER)Injury to C5-C6
--arm remains extended and medially rotated
Klumpke - (ANSWER)C7-C8 + T1 injury
, 2
Management for Erb Duchenne or Klumpke - (ANSWER)Refer if doesn't get better
by 3-6 months for neuroplasty
Edema that crosses suture lines - (ANSWER)Caput succedaneum
Edema that doesn't cross suture line - (ANSWER)Cephalohematoma
Area of alopecia with orange colored nodular skin - (ANSWER)Nexus sebaceous
Management of Nevis sebaceous - (ANSWER)Remove from scalp before
adolescence b/c could undergo malignant degeneration
Thick yellow/white oily scale on inflammatory base of scalp -
(ANSWER)Seborrheic dermatitis
Treatment for seborrheic dermatitis - (ANSWER)Gently clean with mild shampoo
(selenium)
Which two disorders do every state screen for? - (ANSWER)PKU and galactosemia
Deficiency in PKU - (ANSWER)Phenylalanine hydroxylase
, 3
Symptoms of PKU - (ANSWER)Mental retardation, vomiting, athetosis, seizures,
developmental delay
Signs of newborn with PKU - (ANSWER)Fair hair, eyes, skin and musty smell
Treatment for PKU - (ANSWER)Low phenylalanine diet
Deficiency of galactosemia - (ANSWER)G1p-uridyl-transferase
--so G1p accumulates and damage to kidney, liver and brain
Symptoms of galactosemia - (ANSWER)Mental retardation, direct hyperbili,
jaundice, decreased glucose, cataracts, seizure
Treatment for galactosemia - (ANSWER)No lactose
3 days old, bili at 10, direct 0.5, eating and pooping well - (ANSWER)Physiologic
jaundice
When does physiologic jaundice resolve? - (ANSWER)By 5th day
--due to liver conjugation not yet mature
7 day old, bili 12, direct 0.5, dry mucous membranes and not gaining weight -
(ANSWER)Breast feeding jaundice
, 4
--from low feeding = dehydration = retain mechanism and absorb deconjugated
bili
14 day old, bili 12, direct 0.5, baby regained birth weight and otherwise healthy -
(ANSWER)Breast milk jaundice
--breast milk has glucuronidase and deconjugates bili
1 day old, bili 14, direct 0.5 worried? - (ANSWER)Yes -- pathologically jaundice if
have high at first day of life bili >12 or rate of rise >5/day
Test for pathological jaundice - (ANSWER)Get Coombs test
+ = Rh or ABO incompatibility
- = twin/twin or mom/fetus transfusion, IDM, spherocytosis, or G6pDH deficiency
7 days old, dark urine, pale stool, bili 12, dbili at 8, LFTS elevated -
(ANSWER)Biliary atresia
--bile ducts can't drain bile causing liver failure! Need surgery!
Inherited causes of indirect hyperbilirubinemia? - (ANSWER)Gilbert - decreased
glucoronyl transferase level
Critter-Najjar - total deficiency
Inherited causes of direct hyperbili - (ANSWER)Dublin Johnson - black liver
